نشریه پرستاری ایران
پیاپی 95 (شهریور 1394)

Chronic pain as a disabling disorder dose not completely respond to the routine medical treatments. Consequently identification of the risk factors and psychologic-protective factors of pain such as religion and spirituality seems necessary. The aim of this study was to predict the physical, emotional, and cognitive dimensions of pain based on patience.
Material & It was a correlational structural equation modeling study. A total of 110 patients with cardiovascular diseases were recruited by convenient sampling from the outpatient clinic of Imam Reza in the city of Shiraz. Data was collected by a researcher made patience scale and chronic pain inventory and analyzed by Pearson correlation analysis and structural equation modeling using SPSS-PS (v.16) and Amos 16.0.
The results showed that patience is negatively correlated with total pain and its physical, emotional, and cognitive dimensions (p Regarding the findings, it could be concluded that psychological factors especially religious variables play an important role in alleviating pain in cardiovascular diseases. In between, patience as an important variable in the experience of physical, emotional and psychological dimensions of pain could have an important role.

This study aims to investigate the relationship between perfectionism (positive and negative) and self-esteem (personal competence and self-approbation) in predicting women's sexual satisfaction.
Material & A descriptive and co relational design was used in this study. Also, this study was performed in the first quarter of 1393 year on all married women who referred to the 32 healthcare centers located in 2 region of Tehran city. The participants selected by Krejcie & Morgan Table (1970). A sample of 200 women were selected by out of this population. In this study, three standardized questionnaires were used incloding Hadson Sexual satisfaction index (ISS), Terry-Short Positive and Negative Perfectionism Scale and Rosenberg self-esteem Scale. Gathered data were analyzed using descriptive and inferential statistics, regression, one-way ANOVA.
The findings showed that Predictor variables were not able to predict sexual satisfaction (F (4,195) =2/30, P>0/05) and only 0/04 percent of variations in sexual satisfaction is explained by these variables. Also, among predictor variables, self-approbation (t= -2/30 >|2|, β = -0/23 P 0/05) and marriage length (F (4, 195) = 1/55, P > 0/05) cannot act as good predictors.
According to importance of self-esteem and its relation with human behavior and actions especially in the family, and its impact on sexual satisfaction, it is necessary to provide a fertile ground for further improvements in women’s self esteem.

There are different approaches in the field of couple therapy and family therapy and researchers over the years have been measuring their credibility and effectiveness. Bernstein Behavioral-communication is one of these approaches. Accordingly, the aim of this study was to assess the effectiveness of Bornstein behavioral-communication couple therapy on increasing marital adjustment and sexual intimacy of Couples.
Material & This study method was quasi-experimental with pretest-posttest control group. The Statistical Society of current research consisted of all couples referring to counseling centers of Nurabad city (Lorestan) in 2014. The research sample included 80 couples who refer to Family counseling centers, Social Welfare and Health Network; they selected by available sampling method, and assigned in two experimental and control groups. The instrument used in this study included Spinner adjustment questionnaires and Bagarozzi sexual intimacy questionnaires. Analysis of variance with repeated measures used for data analysis.
The results from the mixed analysis of variance with repeated measures showed that the marital adjustment and sexual intimacy of experimental group increased (P≥0.001). Also the visual inspection of effectiveness graphs and the size of impact factor revealed that the scores of marital and sexual intimacy had significantly increased after two months follow up of participants in experimental group.
The results of showed that couples therapies with Behavioral-Communication method are effective in increasing the adjustment and sexual intimacy. Therefore we propose the couples therapies with Behavioral-Communication method in counseling centers for more adjustment and sexual intimacy of couples.

The mean age of puberty is different from one country to another and the beginning time of puberty is influenced by various factors including environmental and genetic factors. This study was aimed at identifying the relationship between consumed food, physical activity and anthropometric indicators with precocious puberty among 5-8 years -old girls in the Ahwaz.
Material & It was a cross-sectional study and 426 5-8 years-old girls participated in the study in the city of Ahvaz. Sampling was performed through cluster random sampling. 12 preschools and primary schools were selected from 4 districts of Ahvaz. The study gathering tool was included a demographic questionnaire, physical activity, food frequency and check list of Physical examination. Data was collected based on examination, interviewing and direct measurement of participants’ height, weight and calculation of their body mass index. Then, collected data analyzed by SPSS software version 19 and Descriptive statistics (mean and standard deviation) and inferential statistics (independent t-test & and Chi-square) used to analyze the data.
our results showed that 45 participants (10/6%) had symptoms of Thelarche, Pubarche or both. There was a significant relationship between precocious puberty and physical activity (p0.05).
The results showed a decrease in puberty age in comparison to the past. Since few studies have been performed in this area, this study can provide basic information for future studies as well as international comparisons.

Nursing students gain personal, professional and clinical skills from their clinical teachers in clinical settings. It should be noted that any deficiencies in clinical education decreases the efficiency and performance of graduating students. Thus, the role of clinical teachers and their quality of teaching are pivotal in clinical education. The purpose of this study was to determine the perspective of nursing students about the characteristics of an effective clinical teacher.
Material & This was a descriptive cross-sectional study during the first and second academic year of 2013. Based on convenience sampling 115 nursing students who were on their clinical wards in affiliated hospitals of Kerman University of Medical Sciences, Iran entered the study. A valid and reliable questionnaire, its face and content validity were approved by obtaining the opinions of medical education and nursing experts, was used to gather data. The questionnaire contained pre-specified items in 2 sections relating to demographic characteristics of respondents and characteristics of an efficient clinical teacher. All tests were conducted with SPSS version 16. For data analysis, descriptive tests (mean and standard deviation) and analytical test (cluster analysis) were conducted.
The highest mean scores for characteristics of an efficient clinical teacher were given to features as appropriate appearance (8.88) respectful to colleagues (8.42), respectful to patients (8.40), respectful to students (8.34), being good tempered (8.27), and professionalism (8.26). Totally, 2 broad characteristics were identified. Based on cluster analysis these characteristics can be classified into personal traits and clinical teaching skills.
Personal traits and clinical teaching skills play a pivotal role in educating nursing students. Consequently, paying attention to these characteristics in clinical settings can enhance student's performance and improve the higher education system.

Every year a large number of premature and sick infants admitted to the neonatal intensive care units. This is a stressful event for parents and especially the mother. There is a small amount of information relating to the factors associated with maternal stress in the NICU. As Spirituality is a source of energy and power to cope with stress, the aim of this study was to determine correlation between spiritual wellbeing and stress in mothers of hospitalized newborns in the NICU.
Material & In this descriptive correlational study, 180 mothers of hospitalized newborns in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences were recruited by convenience sampling method. Data collection tools included Demographic characteristics questionnaire, “Parental Stressor Scale: NICU” (PSS: NICU) and “Spiritual well Being Scale” (SWBS). Data were analyzed with SPSS/16 and statistical tests including Descriptive statistics and Pearson’s correlation were used.
The results showed that most of mothers (56.7%) had moderate stress, and 25 percent experienced severe stress. Also, most of the mothers participating in present study (51.1%) had a very high spiritual wellbeing. There was a significant adverse correlation between stress of mothers and her spiritual wellbeing (r= -0.48, p This study has determined correlation between spiritual wellbeing and stress in mothers of hospitalized newborns in the NICU. According to the findings of this research, neonatal special nurses can reduce stress of mothers with identifying mothers who are at risk for stress and providing spiritual support to them.